Coagulation Cascade Flashcards

1
Q

What are the 9 cell components of Blood

A
Erythrocyte
Leukocyte
Neutrophil
Eosinophil
Basophil
Monocyte/Macrophage
Lymphocyte
Natural killer cells
Platelet
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2
Q

T/F platelets are true cells

A

False

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3
Q

What do platelets contain

A

cytoplasmic granules

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4
Q

what do the cytoplasmic granules release

A

When vessel injury is sensed:

adhesive proteins
coagulation
growth factors

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5
Q

Normal platelet count

A

150,000-400,000

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6
Q

What is it called when you have a platelet count <100,000

A

Thrombocytopenia

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7
Q

where are additional platelets stored

A

in the Spleen

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8
Q

What initiates platelet activation?

A

damage to the blood vessel

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9
Q

What are the 4 steps to platelet activation?

A
  1. Increased platelet adhesion
  2. Activation leading to platelet degranulation
  3. Aggregation as platelet-vascular wall and platelet-platelet adherence increases
  4. Activation of the clotting system
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10
Q

What is the clotting cascade

A

Groups of proteins that when activated form a blood clot

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11
Q

what activates the clotting cascade

A

Activated by tissue injury or infection

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12
Q

what is a blood clot

A

meshwork of protein strands which stabilize the ‘platelet plug’ and trap other cells

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13
Q

what is the primary activator of a blood clot

A

platelets

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14
Q

what is hemostatsis

A

Clot plugs the damaged vessel and stops bleeding

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15
Q

What are protein strands made of?

A

fibrin

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16
Q

Which pathway is thrombin very active in

A

intrinsic pathway

17
Q

What enzyme do we target with medications

18
Q

What enzyme do we target with medications

19
Q

What is the end goal of the coagulation cascade

A

fibrin strands connected together to form a blockage/tight meshwork of a clot

20
Q

What is Anti-thrombin III (AT III)

A

a circulating inhibitor of thrombin (stop the clotting process)

21
Q

what is Tissue factor pathway inhibitor (TFPI)

A

inhibits factor Xa

22
Q

What is in blood

A

plasma 55%

blood cells 45%

23
Q

What is plasma

A

mostly water
Large number of proteins
electrolytes

24
Q

What proteins make up plasma

A

albumin
globulins
clotting proteins

25
what is the most abundant clotting protein
fibrinogen
26
where are most plasma proteins produced
Liver
27
what is Serum
plasma WITHOUT clotting factors
28
what is Serum
plasma WITHOUT clotting factors
29
What is the process of removing a blood clot?
tissue plasminogen activator (t-PA) turns plasminogen into plasmin and plasmin digests fibrin into smaller pieces
30
What are the 5 coagulation therapy Goals
Prevent clot formation Break apart existing clot Can help increase circulation and perfusion Decrease pain Prevent further tissue damage